NUR198 EXAM 5
Parenteral Nutrition nourishment provided via IV therapy
Nursing goals: Parenteral Nutrition Maintain optimal nutrition
Fluid/Electrolyte imbalance
Prevent infection
Checking blood glucose regularly
Complications of Parenteral nutrition Air embolism
Clotted/displaced catheter
Sepsis
Changes in blood glucose
Fluid overload
liver failure
IBS Chronic
Recurrent abdominal pain associated with disordered bowel movements
Diarrhea, Constipation
MOST COMMONIN WOMEN
IBS triggers chronic stress
depression/anxiety
sleep deprivation
coffee, alcohol, fatty foods
,IBS manifestations Alteration in bowel patterns
intermittent cramping/abdominal pain
Abdominal distention/bloating
IBS diagnostics/assessments Stool studies
Colonoscopy
Barium Enema
Proctoscopy
Why deliver parenteral infusion slowly glucose will shoot up quickly
IBS pharmacologic management diarrhea loperamide (slows down bowels)
Psyllium (bulking agent for stools)
Alosterone (ONLY FEMALES, slows bowels. LAST RESORT)
IBS: Pharmacologic Management constipation Lubiprostone (increases fluid in bowels to reduce
constipation, FEMALES)
IBS nursing interventions meds
dietary changes
food diary
adequate fluids
avoid alcohol/smoking
relaxation techniques
, IBS treatment (3 basic) avoid trigger foods
regular exercise
meds
Celiac Disease disorder of malabsorption caused by autoimmune response to consumption of products
with protein gluten
Celiac's patho Gluten sensitivity , loss of normal villi function results in malabsorption
Celiac disease manifestations diarrhea
steatorrhea
ABD Px
ABD distention
flatulence
weight loss
Celiac Disease management Gluten-free diet
Pilonidal Sinus / Cyst Cyst found in intergluteal cleft of posterior surface of lower sacrum
Pilonidal Sinus/cyst manifestation Hairs protruding from opening
Hairs in epithelium/subQ tissue
irritated by perspiration/friction
Pilonidal Sinus Sinus/Cyst: Med Management incision and drainage
Excision of cyst/secondary sinus tract
Parenteral Nutrition nourishment provided via IV therapy
Nursing goals: Parenteral Nutrition Maintain optimal nutrition
Fluid/Electrolyte imbalance
Prevent infection
Checking blood glucose regularly
Complications of Parenteral nutrition Air embolism
Clotted/displaced catheter
Sepsis
Changes in blood glucose
Fluid overload
liver failure
IBS Chronic
Recurrent abdominal pain associated with disordered bowel movements
Diarrhea, Constipation
MOST COMMONIN WOMEN
IBS triggers chronic stress
depression/anxiety
sleep deprivation
coffee, alcohol, fatty foods
,IBS manifestations Alteration in bowel patterns
intermittent cramping/abdominal pain
Abdominal distention/bloating
IBS diagnostics/assessments Stool studies
Colonoscopy
Barium Enema
Proctoscopy
Why deliver parenteral infusion slowly glucose will shoot up quickly
IBS pharmacologic management diarrhea loperamide (slows down bowels)
Psyllium (bulking agent for stools)
Alosterone (ONLY FEMALES, slows bowels. LAST RESORT)
IBS: Pharmacologic Management constipation Lubiprostone (increases fluid in bowels to reduce
constipation, FEMALES)
IBS nursing interventions meds
dietary changes
food diary
adequate fluids
avoid alcohol/smoking
relaxation techniques
, IBS treatment (3 basic) avoid trigger foods
regular exercise
meds
Celiac Disease disorder of malabsorption caused by autoimmune response to consumption of products
with protein gluten
Celiac's patho Gluten sensitivity , loss of normal villi function results in malabsorption
Celiac disease manifestations diarrhea
steatorrhea
ABD Px
ABD distention
flatulence
weight loss
Celiac Disease management Gluten-free diet
Pilonidal Sinus / Cyst Cyst found in intergluteal cleft of posterior surface of lower sacrum
Pilonidal Sinus/cyst manifestation Hairs protruding from opening
Hairs in epithelium/subQ tissue
irritated by perspiration/friction
Pilonidal Sinus Sinus/Cyst: Med Management incision and drainage
Excision of cyst/secondary sinus tract
